Study on Clinical Profile and Outcomes of Ovarian Torsion: A Retrospective Analysis

Introduction: Ovarian torsion, which affects females of all ages, is a Gynaecological emergency, ovary can twist over its own pedicle leading to obstruction of its blood supply causing ischemic necrosis. Early diagnosis is necessary to preserve the function of the ovaries and tubes and prevent severe morbidity. Imaging can give a clue to diagnosis; however, definite diagnosis is intraoperative and the definite management is of surgical. Aims And Objectives: The aim of the study was to analyse risk factors, surgical findings, ovarian salvage rate and histology of ovarian mass, use of ultrasound in diagnosis. Materials And Methods: The present study was carried out in Department of Obstetrics And Gynaecology, Kamineni Institute of Medical Sciences, Narketpally. The study includes 10 patients with ovarian torsion, who were diagnosed and operated, were retrospectively analysed according to demographical, clinicopathological, surgical and sonographic findings. Results: Mean age group was 28 years. 60% underwent emergency exploratory laparotomy and 40% underwent laparoscopic resection. 40% underwent detorsion with cystectomy, 10% underwent oophoropexy and 50% underwent oophorectomy. Ultrasound was suggestive of ovarian torsion in only 50% of cases with ovarian torsion. Conclusion: Abdominal or pelvic pain was the main symptom in all patients with ovarian torsion in our study. Most common risk factor for torsion was a pre-existing ovarian mass. The most common histological finding was serous cystadenoma. Ultrasound is helpful but cannot reliably exclude ovarian torsion.